MICHAEL J DEROGATIS MD
NPI 1376821140
Student in an Organized Health Care Education/Training Program in Cooperstown, NY

Active since July 28, 2011PECOS EnrolledAccepts Medicare Assignment
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3456(607) 547-6612 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael J Derogatis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J DEROGATIS MD (NPI 1376821140) is an individual student in an organized health care education/training program in Cooperstown, New York and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1376821140
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL J DEROGATISCredential: MD
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3456 · Fax (607) 547-6612
Fax(607) 547-6612
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2011
Last NPPES UpdateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
NPI 1376821140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 ATWELL RD, Cooperstown, NY 13326

Secondary Practice Location 1

Location 12775 Schoenersville RdBethlehem, PA 18017-7307 · Phone (610) 861-8080 · Fax (610) 861-2989

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael J Derogatis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729258280
PECOS Enrollment IDI20260622000808
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derogatis's NPI number?

The NPI number for Michael Derogatis is 1376821140. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Where is Michael Derogatis located?

Michael Derogatis practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.

What is Michael Derogatis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Derogatis enrolled in Medicare?

Yes. Michael Derogatis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Derogatis affiliated with any hospitals?

According to CMS data, Michael Derogatis is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Michael Derogatis was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.